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1. Which of the following patients would An adult with a respiratory rate of 10 breaths per
require follow up? minute.
The normal respiratory rate for a newborn is 30
to 60 breaths per minute. The normal respirato-
ry rate of a child is 20 breaths per minute. The
normal respiratory rate for a teenager is 16-20
breaths per minute .
Respirations for adult is 12-20
therefore a 10 breaths per minute for a follow up
2. Which of the following vital signs Temp 97.0 F (36.1C), P-60, R-16, BP 116/78, O2
recorded for an older adult would be sat 95%
considered acceptable (within normal
Limits)? Normal Older Adult Body temp- 36c(96.8F)
Normal HR 60-100 BPM
Normal Resp. rate 16-25
Average BP 120/80 (BP over 140/90 is HTN)
Pulse Ox - 95-100%
3. The nurse has delegated the task of The frequency for taking or monitoring the tem-
temperature assessment to the NAP. perature
Which information should be provided
to the NAP? Select all the apply What changes to report immediately to the nurse
The type of temperature required
4. Which of the following situations may Time of day
affect a patient's vital signs?
(Select all that apply) Moving from lying to standing position
Pain rated as a 7 to 0-10 pain scale
5.
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The nurse will take the patient's vital To provide a set of vital signs to use for compari-
signs preoperatively and record them son during and after surgery.
as part of the patient's preparation for
surgery. Why is it necessary to take vi- To verify the patient is not experiencing any com-
tal signs preoperatively? (Select all that plications that may contraindicate surgery or re-
apply) quire intervention.
6. The NAP reports to the nurse a Assess the patient's blood pressure.
65-year-old patient's blood pressure is
160/98. What is the appropriate initial
response of the nurse?
7. Which patient would it be appropriate Elderly nursing home resident.
for the nurse to delegate vital signs?
8. Which person would be expected to An 80-year old who walked half a mile.
have the lowest body temperature?
9. The NAP is preparing to measure a pa- Ask the patient not to eat, drink, or smoke for 20
tient's vital signs. the patient reports minutes and then assess the patient's oral tem-
having eaten a bowl of warm soup. The perature.
NAP asks the RN what he should do.
What is the best response?
10. for which patient would a tympanic A tachypneic patient who is receiving oxygen by
thermometer be the preferred ther- nasal cannula.
mometer to use?
11. Adult Normal body temp 36c - 38c (96.8-100.4)